Benjamin Patrick Carrillo-sanchez, MFTI | |
1627 S Hargrave St, Banning, CA 92220-6169 | |
(951) 922-7826 | |
Not Available |
Full Name | Benjamin Patrick Carrillo-sanchez |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 1627 S Hargrave St, Banning, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144741554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 85097 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Patrick Carrillo-sanchez, MFTI 1627 S Hargrave St, Banning, CA 92220-6169 Ph: () - | Benjamin Patrick Carrillo-sanchez, MFTI 1627 S Hargrave St, Banning, CA 92220-6169 Ph: (951) 922-7826 |
Mrs. Marcella Adria Arnold, M.A., M.F.T. TRAINEE Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 245 N Murray St, Banning, CA 92220 Phone: 951-849-8812 Fax: 951-755-8915 | |
Desiree Michelle Gottfried, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1627 S Hargrave St, Banning, CA 92220 Phone: 951-922-7612 | |
Lisa Monique Encinas, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1627 S Hargrave St, Banning, CA 92220 Phone: 951-922-7832 | |
Mrs. Yvonne Thoa Tran, M.S, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1627 S Hargrave St, Banning, CA 92220 Phone: 951-922-7820 Fax: 951-922-7752 | |
Mr. John W Manning Iii, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1627 S Hargrave St, Banning, CA 92220 Phone: 951-419-5100 | |
Robin L Nichols, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 49500 Twin Pines Rd, Banning, CA 92220 Phone: 951-849-8416 |